Vagarali Manjula A, Metgud Sharada C, Bannur Hema, Dodamani Suneel S
Department of Microbiology, JNMC, KAHER, Belagavi, Karnataka, India.
Department of Pathology, JNMC, KAHER, Belagavi, Karnataka, India.
J Glob Infect Dis. 2021 Aug 31;13(3):120-125. doi: 10.4103/jgid.jgid_60_20. eCollection 2021 Jul-Sep.
The aim of the study is relative proportion of cytotoxin-associated gene A () virulence marker in isolates and gastric biopsy samples by polymerase chain reaction (PCR).
This cross-sectional study was conducted at a tertiary care hospital setting. Gastric biopsy tissues from 200 patients, suffering from upper gastrointestinal tract disorders, were examined for infection using methods, such as hematoxylin and eosin (H and E) staining, (), and gene PCR. Chi-square and kappa statistics were used to find the association and agreement between the tests, respectively; ≤ 0.05 was considered statistically significant. Screening tests' accuracy was calculated in terms of sensitivity and specificity along with positive and negative predictive values.
Out of 200 patients, was detected in 14.5%, 48.5%, and 31% patients by H and E staining, 16S rRNA, and PCR, respectively. Sensitivity and specificity of PCR as compared to H and E staining were 89.6% and 78.9%, respectively.
detection directly from biopsy specimen by PCR can potentially and rapidly determine the patient's status, especially when at a higher risk of peptic ulcer.
本研究的目的是通过聚合酶链反应(PCR)检测细胞毒素相关基因A()毒力标志物在分离株和胃活检样本中的相对比例。
本横断面研究在一家三级护理医院进行。对200例患有上消化道疾病的患者的胃活检组织进行检查,采用苏木精和伊红(H&E)染色、16S rRNA和基因PCR等方法检测感染情况。分别使用卡方检验和kappa统计量来发现检测之间的关联和一致性;P≤0.05被认为具有统计学意义。根据灵敏度、特异性以及阳性和阴性预测值计算筛查试验的准确性。
在200例患者中,通过H&E染色、16S rRNA和PCR分别在14.5%、48.5%和31%的患者中检测到。与H&E染色相比,PCR的灵敏度和特异性分别为89.6%和78.9%。
通过PCR直接从活检标本中检测可以潜在地快速确定患者的状况,特别是在消化性溃疡风险较高时。